Document Detail

Maternal education in relation to early and late child health outcomes: findings from a Brazilian cohort study.
MedLine Citation:
PMID:  1604379     Owner:  NLM     Status:  MEDLINE    
In a population-based cohort of approximately 6000 Brazilian children, the associations between maternal education and a number of child health outcomes were studied while controlling for potentially confounding variables such as family income and education of the husband. In the crude analyses, maternal education was associated with perinatal and infant mortality, hospital admissions in the first 20 months of life and the three nutritional indicators (length-for-age, weight-for-age and weight-for-length) at mean age 20 months. After adjustment for confounding, the apparent associations with outcomes in early infancy--birthweight and perinatal mortality--were no longer present, while that with infant mortality persisted despite being reduced. Strong associations remained with later outcomes including hospital admissions, length-for-age and weight-for-age at mean age 20 months. Among infants born to women with little or no schooling, deaths due to diarrhoea, pneumonia and other infectious diseases were particularly common. These findings support the hypothesis that maternal education has an effect on child health which is partly independent from that of other socioeconomic factors; they also suggest that maternal care is more important than the biological characteristics of the mothers since stronger effects were observed for the late (postneonatal mortality, hospital admissions and nutritional status) than for the early (birthweight, perinatal mortality) outcomes.
C G Victora; S R Huttly; F C Barros; C Lombardi; J P Vaughan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  34     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-07-16     Completed Date:  1992-07-16     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  899-905     Citation Subset:  IM    
Departamento de Medicina Social, Universidade Federal de Pelotas, Brazil.
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MeSH Terms
Birth Weight
Brazil / epidemiology
Cause of Death
Child Nutritional Physiological Phenomena
Child Welfare*
Child, Preschool
Confounding Factors (Epidemiology)
Educational Status*
Fathers / education
Infant Mortality
Infant, Newborn
Mothers / education*
Nutritional Status
Patient Admission / statistics & numerical data
Prospective Studies
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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